St Vincent Healthcare

Medication Synchronization Program

This is a unique service that our pharmacy is offering in partnership with your SCL Provider. Instead of making numerous trips to the pharmacy to pick up your monthly medications, let us synchronize them for one date. Then you can choose to come in and pick them up or have them delivered to your home/office at no additional cost to you. You will no longer be spending time running to the drug store, but will have the ability to organize your medications with one of our trained pharmacy staff once a month.

Patient Name

Patient Date of Birth

Patient Address

Patient Phone Number

Email Address

Preferred Contact Day & Time

Insurance Information (This information is not required, but if provided, can allow our pharmacy staff to research potential insurance costs before your call.)

SCL Health is an equal opportunity employer. All recruiting, training, and employment decisions are made in accordance with applicable federal, state, and local laws and without regard to race, color, ancestry, national origin, gender, pregnancy, gender identity, sexual orientation, religion, age, disability, handicap, military or veteran status, or any other legally protected status.

NOTICE OF NONDISCRIMINATION

Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities. Read the full notice: St. Vincent Healthcare Notice of Nondiscrimination